Organization Active NPI

Woodlands Home Care, LLC

  • Home Health Agency
  • Austintown, OH
National Provider Identifier
1154432292
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WOODLANDS HOME CARE, LLC
Practice address
4780 Kirk Rd
Austintown, OH 44515-5403
Phone
(330) 792-7700
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Frank Antalocy
Title
Dministrtor
Phone
(330) 792-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4780 Kirk Rd
Austintown, OH 44515-5403

Mailing address

4780 Kirk Rd
Austintown, OH 44515-5403
Phone (330) 792-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100524000070 OH Part A Provider - Home Health Agency 7810938990 Practice locations: Austintown, OH

Home health agency certification: CCN 368137

Legal name
WOODLANDS HOME CARE, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 21, 2006
Last certification
Dec 7, 2017
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
4780 Kirk Rd
Austintown, OH 44515-5403

Care Compare: Home health agency

Medicare Care Compare
Listed as
Woodlands Home Care, LLCCCN 368137
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jun 21, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1044780Woodlands Home Care LLC4780 Kirk Road, Austintown, OH 44515Certificate of waiverAug 28, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kathy Prasad Individual 5% Or Greater Indirect Ownership InterestTrustee Jan 1, 2026 100%
Corporate Officer Feb 25, 2005
W-2 Managing Employee Feb 25, 2005
Declaration of Trust No. 2 of Kathleen a. Prasad Dated July 26, 2018 Organization, Austintown, OH 5% Or Greater Indirect Ownership Interest Jan 1, 2026 100%
Frank Antalocy Individual Corporate Director Jan 1, 2008
Prasad Holding Company Organization, Austintown, OH Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2026 100%

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154432292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 KIRK RD",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445155403",
            "telephone_number": "330-792-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 KIRK RD",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445155403",
            "telephone_number": "330-792-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLANDS HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANTALOCY",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "DMINISTRTOR",
        "authorized_official_telephone_number": "330-792-7700"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austintown, OH

Sources for this page

Verify at the official NPI Registry.